Chapter 150: Prescribing the Right Medicine (Part II) The Third Watch Has Arrived

PS: Three more begging for subscription!

Li Xiaofei glanced at the middle-aged man, and then looked down at the prescription in his hand.

Symptoms: blindness, soreness of limbs.

Dialectical analysis: irregular diet, perennial rush, resulting in spleen and stomach unlucky, Qingyang does not rise, should be promoted to clear the stomach......

Formula: Supplement and subtract the tonic qi decoction......

"Blind?"

Li Xiaofei glanced at the middle-aged man again, this person is blind, but this way?

Although some of them didn't understand very well, Li Xiaofei didn't dare to ask more, now Fang Han was no longer the time when he had just come for the past two days, as Fang Han treated more and more patients this time, the momentum on his body became stronger and stronger, and his gestures gave people an unquestionable confidence.

A few days ago, when Fang Han was diagnosing people, Miao Dalong occasionally asked and checked it, but now Dr. Miao doesn't ask much, because sometimes Miao Dalong also feels powerless, and he himself is not very clear about some diseases, so what are you kidding about it?

It's not just Miao Dalong.

Now many doctors in the emergency department, including some attending doctors, don't dare to treat Fang Han as an intern.

The current Fang Han, in addition to not having the corresponding title, is better than some senior attending doctors in terms of treatment and authority.

As Fang Han himself complained, he has not obtained a medical qualification certificate now, and he has to find someone to sign for prescriptions and medicines, except for this, there are really no other restrictions.

Li Xiaofei quickly picked up the pen and signed his name on the prescription, and then returned the prescription to Fang Han.

"Doctor Fang, can I get my hands on it?"

Li Xiaofei is really a little curious about this disease, how did Fang Han diagnose it, and he was able to cut from the symptoms of blindness to the loss of spleen and stomach.

"Yes. Fang Han nodded, not in a hurry, got up to make way for Li Xiaofei.

Li Xiaofei sat down where Fang Han was originally sitting, and said to the patient with a smile, "Can I show you again?"

"Yes. "Middle-aged people can't see it, but they don't mind having another doctor check on them, and there is always a glimmer of hope for one more person.

Li Xiaofei stretched out his hand to check the middle-aged man's pulse, then checked the middle-aged man's complexion, tongue coating, and eyes, and then asked about his past medical history, and then got up, with some doubts on his face, but he didn't ask much.

Fang Han handed the prescription to the middle-aged woman and explained: "After I go back, take the medicine according to the prescription, and insist on returning to the clinic immediately after taking five doses, don't delay." ”

In fact, this prescription Fang Han is going to prescribe ten doses at a time, and after ten doses, he can guarantee that the middle-aged man will get better significantly.

However, considering the actual situation, he changed the dose to five.

Before the middle-aged people came to Jiang Intermediate Hospital, they had seen a lot of doctors and took a lot of medicines, but to no avail, which also led to the fact that the middle-aged people now have no initial patience, and this time period is the most impetuous and impatient time period for patients.

As a doctor, you must not only diagnose the disease, but also figure out the patient's psychology, otherwise even if the drug is symptomatic, it will often backfire.

This is like the little boy Li Xiaofei watched a few days ago, obviously the prescription is right, but the family just didn't follow the doctor's instructions, which eventually led to the little boy developing from a small illness to a serious illness, and finally became a critical evidence, and now he is still hospitalized in the observation room.

For some sudden illnesses, the psychology of many patients will change with the continuous development of the disease.

Take the situation of middle-aged people as an example, although they are initially blind, although they are impatient, they also have a certain amount of patience, and they will be very attentive when they first see a doctor, and they will take the drugs prescribed by the doctor on time as much as possible, and will not discount them.

In the early stage of a disease, patients have the highest level of trust in the doctor, and at this time, they also have the greatest hope of a cure.

But with the continuous treatment, the effect is not significant, at this time they will begin to question the doctor, patience will gradually wear out, when taking the medicine also pay attention to quick results, two days of taking no effect, subconsciously will think that the medicine does not work, the doctor's level is poor, and then they will continue to go to the doctor, from then on into a kind of dead cycle, eventually leading to their more and more distrust of the doctor, more and more anxious during the treatment, unless it is immediate, or begin to question.

Fang Han guessed this, so he didn't prescribe many medicines, and halved the ten doses and changed them to five.

Five doses of medicine, this will give the patient a different feeling, there are not many medicines, even if the first two doses do not have much effect, he may insist on taking it, what to do after taking it?

And Fang Han is also confident that after taking five doses of medicine, the middle-aged person will definitely feel improved, and then insist on taking the medicine to ensure recovery.

If he had been prescribed ten doses at the beginning and two doses had no effect, he might not have the patience to insist on taking the medicine and go to a new doctor.

It's like a teacher assigning homework to a student, and a smart teacher doesn't assign too much homework, and doesn't assign the kind of copying the text ten or twenty times or so on, but often copying it two or three times.

Three times on both sides, most students will write, and there are not many, so why be scolded by the teacher, it will be easy to write it.

But ten or twenty times, listening to it is big, and even thinking that it is impossible for me to complete it at all, at this time, some students simply can't write a word, anyway, they can't finish it, what is the difference between writing once and not writing, they are all scolded.

Fang Han's halving the dose is actually the same reason.

"Well, thank you. The middle-aged man stood up and thanked him.

Fang Han also stood up and told again: "Five doses of medicine won't be long, if you are from other places, I suggest that it is best to stay in Jiangzhong for a few days, and I will not arrange for you to be hospitalized, and save you some money." ”

"Thank you. The middle-aged man thanked him again.

Seeing the middle-aged couple leave, Li Xiaofei couldn't wait to ask: "Doctor Fang, this person was blind just now, your diagnosis?"

"Blindness is just a symptom, what is the cause of blindness?"

Fang Han glanced at Li Xiaofei: "You are also a senior resident, you should know that as a doctor, you must not have a headache and a foot pain, what is the purpose of syndrome differentiation in traditional Chinese medicine, it is to seek the cause of the disease, so as to treat the symptomatic medicine, if you are confused by the symptoms, so as to get the wrong direction, then you will never reach the end." ”

Li Xiaofei nodded again and again: "I know, I'm just a little confused, how can you cut directly to the point, if this disease is replaced by me, although I won't be confused by the symptoms, it won't be so easy to cut into the point, and I may have to worry about blindness, judging whether it is liver qi stagnation or something." ”

The five organs are on the five senses, the liver is on the eyes, the patient is blind, Li Xiaofei judged that there was something wrong with the liver, in fact, it was not groundless, in fact, Fang Han did not judge the situation of the middle-aged person so quickly by diagnosing the pulse alone.

He smiled and said: "Chinese medicine looking, smelling, asking, and cutting, is not as simple as it seems, whether it is looking, smelling, or asking, cutting, you must be patient, the more detailed the better, especially when your own dialectic is unclear, and more communication with patients will have unexpected effects." ”

Fang Han continued: "I just deliberately chatted with the patient, the patient is a businessman, often travels on business, travels all over the country, has no fixed place, hungry for a meal, full of food is a common thing, such a habit of life can easily cause spleen and stomach failure, and spleen and stomach failure, Qingyang does not rise can indeed be blind, the patient in addition to blindness also has the symptoms of soreness and weakness of limbs also just shows this, and with the diagnosis of pulse, complexion, tongue coating, all kinds of symptoms are consistent, then the diagnosis is correct." ”

Fang Han explained to Li Xiaofei while pondering, as if he had been recuperating in the duty room in the past few days, his temperament had also been honed a lot, and he had nothing to do in the past two days, in addition to brushing the circle of friends, he also read books, and it was not for nothing for him in the past few days.

Li Xiaofei also pondered, looking, smelling, asking, cutting, asking, not only asking about medical history, asking about symptoms, but also small talk can also find problems that were difficult to find before......

Fang Han ignored Li Xiaofei, but called out the skill panel, this illness just now added a lot of skill points to his consultation skills, and now the experience value of the consultation skills has reached 49957, and there are less than fifty skill points left from 50,000.

Similarly, because of Fang Han's delay in the past few days, his temporary mission only had two days left.

In two days, it should not be a big problem for the consultation to be promoted to the primary level, but the smell of the diagnosis is still more than a thousand skill points.

"If you don't succeed in the temporary mission!" Fang Han was a little unwilling, but he couldn't help it, this more than 1,000 skill points, if you are lucky, you may be able to get it soon, if you are unlucky, not to mention two days, it is estimated that it will be difficult to rise in a week.

"Ding......

Suddenly, the prompt sound of the system sounded in Fang Han's mind: "Li Xiaofei, with the help of the host, the diagnosis skill has reached the primary level, and the host will be rewarded with a random skill package." ”

Fang Han was stunned for a moment, and suddenly looked at Li Xiaofei, his own questioning skills had not yet reached the primary level, but this kid had actually reached it?

After being surprised, Fang Han was also relieved, Li Xiaofei is a senior resident, in fact, the water in all aspects is not too low, and it is normal for certain skills to reach a critical point a long time ago, and today he suddenly realized that it is normal for the consultation to reach the primary level.

"Thank you, Dr. Fang. Li Xiaofei also came back from his contemplation at this time, and hurriedly thanked Fang Han.

He didn't have a system prompt, so he naturally didn't know how much his level had grown, but Fang Han's explanation just now also opened a door for him.

He usually diagnoses and sees diseases, and most of them follow the process to diagnose the pulse and ask, and he doesn't think too much, just now Fang Han reminded him, he realized that sometimes the consultation is not so deliberate, but very casual, and the question and answer with the patient is like a friend chat, not an inquiry between doctors and patients.

The more casual the chat, the more unguarded the patient is, and the more likely he is to ask something that is not easy to ask in a normal way.

"Alright, there you go. Fang Han was in no mood to talk to Li Xiaofei more at this time, his consciousness was immersed in his mind, and a glittering box was suspended in the center of his mind.

Another random skill pack, I don't know what can be opened this time, even if it's a skill point, that's not bad.